Guiding Light Wellness Center LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME85603 Issued in FL

Legal business name

GUIDING LIGHT WELLNESS CENTER LLC

Practice address

3319 State Road 7
Suite 210
Wellington, FL 33449-8094

Phone

(561) 422-3314

Fax

(561) 422-3315

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jodi Star, M.D.

Title

Medical Director

Phone

(561) 422-3314

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria L Gordon, LCSW

  • Clinical Social Worker
  • Royal Palm Beach, FL
  • NPI 1225251010
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1285763441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 W FOREST HILL BLVD",
            "address_2": "SUITE 22-300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "561-422-3314",
            "fax_number": "561-422-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 210",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-422-3314",
            "fax_number": "561-422-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "STAR",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-422-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME85603",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85603",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME85603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmayer Wellness Center LLC
• Madeleine Grossmayer, LCSW
• Guardian Angel Monitors
• Jennifer E Guest, ED.S.
• Guidewell Sanitas I, LLC
• Mario F Guillen, MD
• Ishan A Gunawardene, M.D
• Shariffa Gunawardene, ARNP
• Cesar Alonso Gutierrez, COTA
• Andrew Guvetis, PHARMD

• Psychiatry Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.